Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.71 / $2,013.47 / $4,583.35	Professional		$1,620.71	$2,013.47	$4,583.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,103.10 / $2,574.48 / $2,874.24	Professional		$2,103.10	$2,574.48	$2,874.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,817.79 / $2,484.84 / $5,866.69	Facility		$1,817.79	$2,484.84	$5,866.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.90 / $2,788.20 / $2,972.00	Professional		$2,451.90	$2,788.20	$2,972.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $2,334.19 / $2,600.94	Professional		$32.34	$2,334.19	$2,600.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,788.19 / $3,049.90 / $3,086.93	Professional		$2,788.19	$3,049.90	$3,086.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,615.73 / $2,111.85 / $3,312.98	Professional		$1,615.73	$2,111.85	$3,312.98